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- W4318344251 abstract "<h3>Introduction</h3> Cardiac MRI is a vital tool in the assessment of heart failure. We investigated the utility of CMR on inpatients admitted to our dedicated heart failure unit (HFU, the first in the UK). <h3>Materials and Methods</h3> Patients admitted to our HFU and referred for inpatient CMR from August 2018 – August 2022 were included. Data was collected retrospectively from the electronic patient records including patient demographics, co-morbidities, CMR findings and subsequent major adverse cardiovascular events (MACE). <h3>Results</h3> 85 patients were included, 64 (75%) male, mean age 69(±13)years, 26% had an existing diagnosis of heart failure. The primary reason for admission was decompensated heart failure in 80% patients. There were 66 (78%) patients with HFrEF (EF <40%), 7 (8%) with HFmrEF (EF 40–50%) and 12 (14%) with HFpEF (EF >50%). The indication for CMR was to assess the aetiology of heart failure in 48 (56%) patients. 65 (76%) patients had an invasive coronary angiogram during their acute admission. CMR was performed in 78 patients, 6 did not tolerate the scan and late gadolinium enhancement was non-diagnostic in 1 patient. The aetiology of heart failure was ischaemic in 24 (31%) patients and non-ischaemic in 51 (65%) patients, 3 (4%) patients had mixed ICM/NICM. Of the 27 (35%) patients with infarct, 19 (70%) had invasive coronary angiography and 7 were revascularized (26%). In those without infarct, 39 patients had invasive coronary assessment (76%) and none were revascularized. CMR changed management in 54 (64%) patients including change in medication (53/54, 98%) and device therapy (7/54, 13%). 12 (14%) patients were re-admitted within 30 days. There were MACE in 5 (6%) patients including decompensated heart failure, arrhythmia (VT) and stroke, 2 (2%) died during admission and 3 (4%) patients died within 90 days following discharge. <h3>Discussion</h3> CMR has a significant impact on the management of patients admitted to a specialist HFU, more so than coronary angiography and informed further management decisions regarding medication changes, re-vascularisation strategies and device implantation. <h3>Conclusion</h3> CMR has a vital role in the management of inpatients with acute heart failure enabling accurate diagnosis and facilitating a tailored management approach." @default.
- W4318344251 created "2023-01-28" @default.
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- W4318344251 date "2023-01-01" @default.
- W4318344251 modified "2023-09-26" @default.
- W4318344251 title "12 Cardiovascular magnetic resonance has a significant role in the management of acute heart failure admissions: a tertiary referral service experience" @default.
- W4318344251 doi "https://doi.org/10.1136/heartjnl-2022-bscmr.12" @default.
- W4318344251 hasPublicationYear "2023" @default.
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